NR 340 Unit 7 Endocrine alterations

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The nurse is educating a new RN in the care of a diabetic patient. The nurse is anticpating that the patient will need a continuous infusion of intravenous insulin. Which statement by the new RN indicates that teaching has been effective?
29

“I should administer kayexalate to prevent potassium buildup.”
“Arterial blood gas should be monitored every 4 hours to assess bicarbonate.”
“I should monitor plasma blood glucose every hour.”
“I should implement a fluid restriction to prevent fluid overload.”

5 questions

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Q1
The nurse is educating a new RN in the care of a diabetic patient. The nurse is anticpating that the patient will need a continuous infusion of intravenous insulin. Which statement by the new RN indicates that teaching has been effective?
“I should administer kayexalate to prevent potassium buildup.”
“Arterial blood gas should be monitored every 4 hours to assess bicarbonate.”
“I should monitor plasma blood glucose every hour.”
“I should implement a fluid restriction to prevent fluid overload.”
60s
Q2
Kussmaul’s respiration, the rapid deep breathing seen in DKA, is the body’s effort to compensate for metabolic acidosis caused by:
bicarbonate
carbonic acid
lactic acid
ketone bodies
60s
Q3
Assessment findings the nurse should anticipate for a patient who is in myxedema coma include:
lethargy, edema, swollen tongue, abdominal distension
nervousness, increased T4, crackles, increased respirations
weight gain, seizures, dark yellow urine, frothy pink sputum
hypotension, tachycardia, polydipsia, temperature 102° F
60s
Q4
In HHS, laboratory results are similar to those in DKA , but with three major exceptions. Which lab findings should the nurse anticipate in a patient with HHS?
Higher serum glucose, higher osmolality, and minimal ketosis
Higher serum glucose, higher osmolality, and greater ketosis
Lower serum glucose, lower osmolality, and greater ketosis
Lower serum glucose, lower osmolality, and minimal ketosis
60s
Q5
The nurse is caring for a patient with a diagnosis of primary hyperthyroidism. Which lab results should the nurse anticipate on this patient?
High TSH; elevated T3, T4
Low to normal TSH; normal T3, T4
High TSH; low T3, T4
Low to normal TSH; elevated T3, T4
60s

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